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1689125643
DEREK COLSON
VALDOSTA, GA
NPI
1689125643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: GA 044327071)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- DEREK COLSON
1341 W HILL AVE
VALDOSTA, GA 31601-5235
Phone number: 229-221-8292
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Mailing Address
-- DEREK COLSON
1551 DILLON RD
THOMASVILLE, GA 31757-2242
Phone number:
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